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I have a brand new ADD diagnosis and I took my first Adderall today - half a 10mg tab in the morning. Took about 15 minutes to kick in, and then my brain was quiet for the first time in probably thirty years. For the first time in forever I didn't need to go check facebook, or see if tights were on sale on Amazon, or take off my shoes or put on my shoes or sit on my feet or get off my feet or do anything but just work on my project. It was glorious. For about ninety minutes. And then it was pretty ok. For about half an hour. And then it was like someone opened a cage full of squirrels inside my head. For about three hours. After that I felt like I was on the down side of a panic attack; muscle soreness, shakes, heart palpitations, the works. Now, I know that one experience of anything does not science make, but is this a sign that stimulants and I don't get along, or is the first dose always entertaining? I do have a 'script for the XR tabs, which might be gentler on my system, and I'll try those, but if this is does prove a pattern then I'll need to be really, really careful how I time things. Potential complication is that my ADD is comorbid with bipolar; I'm getting stable on that, but anything that makes me anything close to manic should really be avoided.
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# ? Oct 25, 2012 01:54 |
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# ? May 11, 2024 17:10 |
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That means /this/ stimulant isnt for you.
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# ? Oct 25, 2012 02:40 |
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Melliemel posted:Potential complication is that my ADD is comorbid with bipolar; Yeah that's the problem. It says right on the drug store label that Adderall carries a major risk of triggering psychotic episodes in bipolar patients, and it's use is discouraged. So this is a new diagnosis and the first drug you've tried? It's very strange that this was his go-to drug for a bipolar person. Maybe get another doctor.
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# ? Oct 25, 2012 03:59 |
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Roulette Go! Bye Vyvanse! Hello Strattera!
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# ? Oct 25, 2012 13:54 |
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Sub Rosa posted:Roulette Go! Please let us know how it goes! I'm on Vyvanse and it only helps a little so I'm curious about Strattera. Why are you switching if you don't mind me asking?
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# ? Oct 25, 2012 20:06 |
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Sub Rosa posted:Roulette Go! Sup meds switch to Strattera buddy.
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# ? Oct 25, 2012 21:20 |
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Phyzzle posted:
Both diagnoses are new; I'm on Topamax for the bipolar (and kvetching about that in the appropriate other forums) but the Adderall was the first try for the ADD. Honestly, my doc didn't want to treat it at all yet; she wanted to get my moods under control first, but I was finding that as we're dialing in the Topamax my brain squirrels were really getting out of hand and work was almost impossible to get through so I asked if we could try it. That was maybe unwise of me. At any rate, I started mellowing back out around 2:30 this afternoon, but I think we all learned a very important lesson.
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# ? Oct 26, 2012 01:37 |
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Hey ADD thread, what's up? Does anyone here have experience with having ADD AND a sleep disorder? Because it is loving terrible and I don't know what to do. Not sure what sleep issues I may have exactly yet; I did a sleep study and all they told me was something like I stop breathing in REM sleep and that I seem to start REM sleep faster than other people? I'm supposed to get my results next week and do some follow-up tests. I am doing so poorly in school (not poorly enough that I'm in danger of failing out, but I'm def not getting into psych grad school ), and it's driving me crazy. Some days my attentional issues are so bad that I can't watch a movie or an episode of a show I haven't seen because I just can't pay attention to it at all. I feel like such an idiot. I'm getting tired of having to read things like fifty times before my mind processes the meaning of what I've just read. I'm on 20 mg of adderall. I try to avoid taking that high of a dose though cuz it's too intense for me. It'll work awesome for a short time. I'll get into whatever I'm doing and I won't be tired. BUT THEN I'll suddenly have this emotional crash where I feel like life is pointless, I'm going to die anyway, etc. Really kills my motivation for studying. It also occasionally gives me suicidal thoughts and some mad anxiety. And it messes with some other conditions I have (POTS, NCS) which fucks with my blood pressure and makes me feel physically exhausted. Basically, 20 mg of adderall makes me feel like shooting myself. If I take 10 mg I'm cool except I still get really tired and often fall asleep a couple hours into the dose anyway. It pretty much feels like I haven't taken anything, except I feel more focused on what I'm doing as I'm falling asleep. Are all stimulant meds like this? Is there anything that actually makes you feel awake that isn't a stimulant? On an unrelated note: Does anyone else get SUPER FOCUSED on the most random things? I do. Sometimes it's useful like if I get really into a paper or studying a language, but most of the time it's about the weirdest and most random things. Like last night I spent literally an hour reading about how radium used to be used to paint watch faces when I was supposed to be writing a paper.
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# ? Oct 26, 2012 19:39 |
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Fluorescent posted:Hey ADD thread, what's up? If it turns out to be obstructive sleep apnea causing the breathing problem, they'll probably set you up with a CPAP machine (continuous positive airway pressure). It looks like you're wearing a breathing mask while you sleep, and it feels weird as gently caress when you start, but it can work wonders.
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# ? Oct 26, 2012 19:42 |
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Fluorescent posted:On an unrelated note: Does anyone else get SUPER FOCUSED on the most random things? I do. Sometimes it's useful like if I get really into a paper or studying a language, but most of the time it's about the weirdest and most random things. Like last night I spent literally an hour reading about how radium used to be used to paint watch faces when I was supposed to be writing a paper. Yeah, this isn't unrelated, it's actually a sure sign of ADD. I've just learned to roll with it, I have a lot of random knowledge because of this.
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# ? Oct 26, 2012 21:01 |
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Qu Appelle posted:Sup meds switch to Strattera buddy. Qu Appelle posted:I have Spastic Paraparesis as well, and it made my spasticity much worse right off the bat. Thus, a no go, but probably not something you're going to run into. (SP is a very rare disease).
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# ? Oct 26, 2012 21:03 |
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So far, no extra spasticity! Its something that would have kicked in already. Now, I take Strattera all the time? No weekend drug holidays?
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# ? Oct 26, 2012 21:30 |
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Yeah, it isn't something that makes sense to have holidays on. Reuptake inhibitors don't have tolerance like stimulants and actually need to sort of "build up" to work. It has two phases of metabolites and science science etc etc I don't really understand. My Pdoc said that most people that have problems with Strattera aren't properly titrated up to an appropriate dose. I was given two weeks of 25mg and one week of 18mg, but I'm only to drop down to 18mg for a couple of days if the 25mg gives me any trouble. Two days in and I can't really say I feel anything more than placebo. HondaCivet posted:Why are you switching if you don't mind me asking? One thing that was both good and bad about Vyvanse was it's duration. It lasts pretty much all day. The thing is I forget to take my medicine if I get distracted right when I wake up, which is pretty often. Even taking it two hours late is going to impact my sleep schedule. I was already unable to adjust my sleep schedule to what my Pdoc wanted (I think I have delayed sleep phase syndrome, his response to that was "use an alarm clock" ...) and while to be clear I've always had a problem not staying up late with no chemical stimulation, adding in amphetamines was no help. I like that in theory I will be having positive effects from Strattera 24/7 instead of waiting for it to kick in and then having uneven coverage. I still think I was better on Vyvanse than nothing, and I could see times in my life where it would've made a big difference, like when I was in school. But right now I feel like I more need treatment for other aspects of the disorder. Also I have some nebulous amount of comorbid disorders forever in the process of diagnosis, and in general we're hoping Strattera could have a positive influence on them which Vyvanse didn't. Though I don't think Vyvnase was a negative. And all of this is compounded with only really being able to see how these things make me feel and what I see from the inside. I can't see how people from the outside would judge any changes, and that is partly because I just hide in my room. Fluorescent posted:Does anyone here have experience with having ADD AND a sleep disorder? While it doesn't help with focus / ADHD stuff, modafinil will make you feel awake. There is a goon that is selling a modafinil prodrug here on SA, but of course buyer beware. I read a little about it and liver enzyme pathways science science etc etc I don't really understand.
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# ? Oct 27, 2012 02:14 |
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If someone out there doesn't have insurance but needs a 30 day supply of Strattera, use this coupon: http://voucher.strattera.com/form_child.cfm I was able to set a friend up with this, and they redeemed it Friday. I figured that it may help others get the drugs they need. I don't know if it applies to new prescriptions only, or existing, my friend used it with a new script. However, you can only redeem it for 30 days of Stratters over a year.
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# ? Oct 27, 2012 21:51 |
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You can also get it through the needs based patient assistance program Lilly Cares. Also since it isn't scheduled like the stimulants, it's much more likely that your prescriber has access to sample boxes. My pdoc told me to not even bother with Lilly Cares since he has so many boxes of samples.
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# ? Oct 27, 2012 22:21 |
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Sub Rosa posted:You can also get it through the needs based patient assistance program Lilly Cares. Your doc doesn't happen to be in Seattle are they? I could hook them up. My doc doesn't believe in samples, but I also have health insurance, so it's not an issue for me. And Day 3 on Strattera - feels a lot like when I was on Wellbutrin, but with slightly more attention span. But holy cats I have no appetite, like at all. Which is OK because I have pounds to lose, but it's much more prominent than any of the stimulants, with maybe the exception of straight Dex.
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# ? Oct 27, 2012 22:50 |
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This is a really weird question, but did any of you find that medication altered your taste in music? I found music more enjoyable when I was taking Dexedrine, but it was still more or less the same kind of stuff I used to listen to, quiet stuff and folk and electronica like Radiohead. Now a week-some back into Adderall I'm thinking about how I should get an amplifier, because I really need more bass for loving Die Antwoord
Culinary Bears fucked around with this message at 10:10 on Oct 28, 2012 |
# ? Oct 28, 2012 10:04 |
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Goddamn posted:This is a really weird question, but did any of you find that medication altered your taste in music? I found music more enjoyable when I was taking Dexedrine, but it was still more or less the same kind of stuff I used to listen to, quiet stuff and folk and electronica like Radiohead. Now a week-some back into Adderall I'm thinking about how I should get an amplifier, because I really need more bass for loving Die Antwoord I think it has made me pay more attention to my singing, but as far as taste, my tastes are all over the place anyway.
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# ? Oct 28, 2012 10:34 |
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Goddamn posted:This is a really weird question, but did any of you find that medication altered your taste in music? I found music more enjoyable when I was taking Dexedrine, but it was still more or less the same kind of stuff I used to listen to, quiet stuff and folk and electronica like Radiohead. Now a week-some back into Adderall I'm thinking about how I should get an amplifier, because I really need more bass for loving Die Antwoord I would theorize (using the time-honored method of pulling "facts" out of my rear end) that a different medication is more or less effective for you, which affects your focus, which affects your mood, which affects your musical preferences. Sometimes I'm in the mood for classical piano, sometimes I'm in the mood for something involving guitars, and my musical moods seem to correlate with my emotional moods.
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# ? Oct 28, 2012 13:17 |
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I've always been all over the map when it comes to music. Jazz, classical, hip hop, death metal, etc. Although now I can't really listen to music with words when trying to study, write code, etc. (I'm a web/software developer). I find that I actually pay attention to the words, which distracts me. Before getting diagnosed, I never listened to lyrics. I treated the singer as another instrument. I do notice that the meds have altered my taste for hobbies and what I do with my free time. I used to only do action packed, fast-paced type hobbies. Now, I find myself studying math, reading science journals, and overall doing more 'cerebral' things. People now a days that meet me for the first time assume I'm some scientist minded type. It's funny because before getting diagnosed, I always felt like an airhead and as far from science like as you can get (despite being fascinated by it all). People that know me before the meds noticed my airheadedness. I never bothered with studying things like Trig or read wiki entries on how to calculate forces, etc. Too many words --- After reading all the recent posts in the thread, I'm REALLY tempted to try Strattera now. While Vyvanse does work okay, I hate how you can't break up the dosage into 4-hour blocks like instant release meds. I also hate coming off of the meds at the end of the day and feeling airheaded again. Sounds like Strattera is something you take all the time and so, you're always covered by the medication. That's really appealing to me. It not being a controlled substance is nice too. Kinda tired of initial smiles turning into dirty looks from the pharmacists around here (go go Pinellas county, Florida - leader in prescription abuse for the state). I'm concerned by the talk of a ramp up time though. Do you really not feel any effects on day 1 of the drug? In effect, do you feel un-medicated until the drug kicks in? If so, I guess it's time to say hello to coffee again until it kicks in days or weeks later. How does Strattera all feel compared to stimulants like Adderall, Vyvanse, etc? Any kind of high or amped up feeling? Or does the medication not feel like anything until you suddenly notice 'Omg, I totally focused and finished my mundane tasks!' As I mentioned in a previous post, I really hate the anti-social feeling I get on this family of drugs. The Ritalin family doesn't seem to do poo poo, or I'd switch over to that. Does Strattera seem to cause such a thing for you all on it? Dolemite fucked around with this message at 20:48 on Oct 28, 2012 |
# ? Oct 28, 2012 20:45 |
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Dolemite posted:I'm concerned by the talk of a ramp up time though. Do you really not feel any effects on day 1 of the drug? In effect, do you feel un-medicated until the drug kicks in? If so, I guess it's time to say hello to coffee again until it kicks in days or weeks later. My understanding is that you need to be titrated up to a therapeutic dose over the course of weeks. It sounds like taking more Strattera than your body can currently handle produces lots of very unpleasant side effects which is why I've been afraid to try it. It sounds like everyone in the thread is doing OK though. I'm seeing my pdoc on Tuesday, I might ask about it seeing as the Vyvanse is only very mildly effective. I haven't bothered with my Vyvanse all weekend and I can hardly tell the difference really. It's somewhat helpful during work I guess but it's not really helping with my moods and negativity that much. People call Strattera a glorified anti-depressant so hopefully it'll help there.
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# ? Oct 29, 2012 01:18 |
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It does take a few weeks for it to get to a therapeutic dose, but I can feel it working right away - and today is only day 4. I'm calmer overall, less anxious, less depressed, and when things do go bad, I'm able to react to them without having a meltdown or going overboard. I can't tell if my attention span has been affected yet, it's been a long weekend. Tomorrow will be the test of that at work! The only side effects I've had are: feeling high as gently caress the first day - there was some serious poo poo going on in my head, to the point where I just chilled in a Starbucks people watching because it was just ALL SO AWESOME and they had trails!, but that wore off after Day 2. Slight constipation - eh. Not an issue. Slight hesitation in peeing - eh, not an issue. Less appetite - I do not consider this a bad thing. I do have to remember to eat healthy foods, otherwise it'd be all fries and candy. I stocked up on apples just because of this. Slight tiredness - it could be because I also take Baclofen at the same time; I'm on such a low dose that I may be able to do without it totally. I'll ask my Movement Disorders doc on Wednesday. Wheezing and my asthma getting worse - this one does worry me a bit. The first day I had wheezing, but one puff of my inhaler killed that off right away. Days 2 and 3 I had no asthma effects at all. Day 4, today, I had wheezing, but my inhaler killed it off - or so I thought. It kept on coming back through out the day, so either it's the Strattera doing this, or a muffin I bought that I was allergic to. I hope to God it was just a bad muffin. I'm going to continue to take the Strattera this week, but monitor the asthma stuff. And stay away from foods I may be allergic to. Qu Appelle fucked around with this message at 06:07 on Oct 29, 2012 |
# ? Oct 29, 2012 05:47 |
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If I can ask for some advice: I've spent the last 11-12 years trying desperately to figure out what's wrong with me. Part of it I know is issues with anxiety (of which I'm working with a therapist to address), but the other part has remained a consistent mystery. I ended up picking up Delivered from Distraction after reading through this thread, and it's like reading a goddamn checklist to me. I've managed to make it through my academic career alright, mostly thanks to a highly honed fear of failure that provides enough of a stress response to get projects done, but generally only once it's gotten down to the finish line. My personal life, however, is a mess. The anxiety I have of social situations is exacerbated by a sense of profound boredom whenever I'm involved with them after a certain period of time, and I've never been able to figure out why. My personal projects always end up left behind and forgotten in favor of something new; I've practically got a graveyard of notebooks filled with half-started stories sitting around. I have aspirations of learning how to be a better writer and to be a better artist, but they always, inevitably, fall by the wayside. The frustration I feel of staring at a monitor for half an hour and having almost nothing arrive is starting to become too much. I feel trapped, and I want out. In short: I'd like to go get screened and see where that leads. At the very least, I'd like to rule it out as the cause of my malady so I can try and figure out what the hell is going on otherwise. My question, because I am clueless about these things: Where do I go first? I have access to a psychologist via the counseling services of my university - would it be best to go to them? I've found registered psychologists via searches who specifically focus on ADHD - is this where I should go, or is it a psychiatrist I should be looking for? Should I have my GP refer me to someone? I'm a little nervous about asking my university psychologist solely because I don't wish to come across as a university student looking to score amphetamines (and I'm not sure if this is overly paranoic or not). I'm basically just stuck with what my next step should be.
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# ? Oct 29, 2012 06:27 |
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I personally prefer a psychologist who specializes in ADHD. I might even go through the university because they've seen it all. A diagnosis entails some pretty objective measures you would really have to work entirely too hard to fake, plus if you were trying to score drugs- they could see how many times you've pulled a prescription. Go with what you can afford then with what's available.
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# ? Oct 29, 2012 06:41 |
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If you have access to a Psychologist, it might be good to see them to see if they know any Psychiatrists that specialize/can treat Adult ADHD. You may then find a GP for a referral, but the Psychologist may be more knowledgeable than a GP. I've had GPs who think that my ADHD isn't a problem because I'm not homeless and cooking meth in a back alley. Instead, I'm a bit of a yuppie geek. Whereas a Psychologist may be a bit more sympathetic. (Luckily, my current GP is much better.)
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# ? Oct 29, 2012 06:41 |
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prefect posted:If it turns out to be obstructive sleep apnea causing the breathing problem, they'll probably set you up with a CPAP machine (continuous positive airway pressure). It looks like you're wearing a breathing mask while you sleep, and it feels weird as gently caress when you start, but it can work wonders. I'm really hoping it turns out to be sleep apnea because this CPAP machine sounds like a miracle from God. I know a couple of people who have it (including my grandma) and they all say it makes you feel like a completely normal person. I'm just worried about how much it might cost. I'm a poor uninsured college kid. The other thing is I'm this skinny little girl and it sounds like I don't really fit the profile for sleep apnea. quote:Like I say, I think I have DSPS but unlike my community mental health center, I can't go see a sleep specialist for free. Really? I've been trying to look into modafinil/moda analogues for a while but all of the vendor sites I find for it have been taken down, haha. Will definitely look into that, thanks! On an unrelated note, Has anyone here tried any of the -racetams? I just started taking aniracetam, and it's done wonders for my social anxiety and it's made me surprisingly productive. Like, I just do things. I'm still all over the place and trying to do fifty things at once, but the difference is I'm actually making significant progress on stuff. And when I switch between things I actually switch back after a while, which never used to happen. In the past, once I focused my attention on something else, the other thing I was doing would just be dead to me for at least the rest of the day, haha.
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# ? Oct 30, 2012 15:08 |
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Looks like I'm hopping aboard the Strattera bandwagon too woooooo I think my pdoc is getting sick of switching me around but he's letting me try it anyway. Anyway, I got the starter pack with the titration all laid out for you which is nice. Any other advice/weird poo poo to watch out for?
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# ? Oct 31, 2012 02:28 |
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So far the only thing I've noticed is that Strattera makes me sleepy as gently caress. HondaCivet, what is the titration scheme in the pack you got?
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# ? Oct 31, 2012 03:38 |
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I had to get a full month's supply, but my doc has me on 1 10 mg pill for the first two weeks, then 2 10 mg pills. My side effects have subsided, but I've learned the hard way that caffiene on top of the Strattera makes me wheeze. Yeah, I don't know either. But it might be a good idea to lay off the coffee/tea/cola/other caffeinated drinks until you know how the drug functions. The good news? I can definitely feel it kicking in. Mo more panic attacks, I can follow much more at work, I don't feel as socially awkward, and I can remember to do things like make my lunch the night before, and then bring it in the next morning, instead of forgetting about it and lunch is another horrid can of soup from the QFC. I like having a small amount of ADHD meds constantly in my system, rather than 6-8 hours of ON, and then 12-16 hour of OFF.
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# ? Oct 31, 2012 03:55 |
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Yeah he just handed me one of the Lilly sample packs for nothing. He made me hide it in my purse though, no one's supposed to see him give out samples I guess.Sub Rosa posted:So far the only thing I've noticed is that Strattera makes me sleepy as gently caress. It goes like this: -18mg for 5 days -25mg for 5 days -40mg for 5 days -60mg for 15 days That sounds way faster than Qu Appelle is going though.
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# ? Oct 31, 2012 04:19 |
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That's because my entire body is a massive drama princess spoiled problem child with medications, especially brain ones, and unless I start out on the tiniest of doses imaginable, the side effects get overwhelming. Luckily, my doc knows this, and adjusts accordingly. YMMV when it comes to the miracle of of course.
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# ? Oct 31, 2012 04:41 |
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Apparently Lilly used to suggest starting people at 40mg for a couple weeks then straight to 80mg. No wonder it has such a bad rep for initial negative experiences.
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# ? Oct 31, 2012 06:10 |
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I think if I were to have started at 40 mg, my brain would have exploded. Like, physically. As for long term use, I wouldn't be surprised if I don't get beyond 18 mg. a day.
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# ? Oct 31, 2012 06:15 |
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Qu Appelle posted:Your doc doesn't happen to be in Seattle are they? I could hook them up. My doc doesn't believe in samples, but I also have health insurance, so it's not an issue for me. Not sure how I missed this. Nope, not Seattle. Actually, I've felt like I've had more of an impulse to binge since switching. At this point it is sort of hard to say what is the Strattera and what is the not-being-on-Vyvanse.
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# ? Oct 31, 2012 06:47 |
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DAY 1, 18MG STRATTERA: Other than feeling kind of nauseous until I ate something this morning, I didn't really feel anything. And here I was worried that I'd be doubled over dying all day.Sub Rosa posted:Apparently Lilly used to suggest starting people at 40mg for a couple weeks then straight to 80mg. No wonder it has such a bad rep for initial negative experiences. Yes, that does help explain it. Especially if some doctors didn't update their knowledge and have continued to start people off that way.
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# ? Nov 1, 2012 03:59 |
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DAY 7, 25MG STRATTERA: This poo poo is awesome! Okay, today has been a good day. I actually made progress on a project. I fixed my old iPod mini, installed Rockbox, and started organizing my tremendously unorganized FLAC collection. I made a somewhat sane and sensible workflow that I in some semblance pretty closely hovered around. Okay, I was still pretty spastic inside the bounds of the task, but there were lots of opportunities to leave the task for other distractions, and I was able to brush them off and go back to making progress. In general I notice that the mental chatter hasn't been present today. I've felt clear headed and able to focus. There still is probably something I should have done besides organize my music collection, but whatever, this is something intimidating I've been putting off forever. It is worth noting something though. My pdoc told me to keep taking my Vyvanse for this first week, and the only day I did so was yesterday because I was tired of being so sleepy. And yesterday was a pretty typical Vyvanse feeling day. I don't know how or why that could have changed how I felt today, but I guess it's worth noting.
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# ? Nov 1, 2012 05:12 |
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DAY TWO . . . Still not feeling much but I do feel a little weird. Like time is going more slowly? Maybe a little agitated, like I wish I didn't have to work today. It was extra hard to get out of bed too. Could that stuff be the Strattera or am I probably just having an off day?
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# ? Nov 1, 2012 22:30 |
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HondaCivet posted:DAY TWO . . . Still not feeling much but I do feel a little weird. Like time is going more slowly? Maybe a little agitated, like I wish I didn't have to work today. It was extra hard to get out of bed too. Could that stuff be the Strattera or am I probably just having an off day? It could be the Strattera. Remember, it takes a bit to ramp up into the system. Kinda a change when you're used to the instant ramping up/down of the stimulants. Also - drinking on Strattera: Bad idea, or really bad idea? I barely drink, but sometimes I like a beer before bed. But if drinking's verboten, then I can abstain no problem.
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# ? Nov 1, 2012 22:49 |
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Qu Appelle posted:It could be the Strattera. Remember, it takes a bit to ramp up into the system. Kinda a change when you're used to the instant ramping up/down of the stimulants. I'd just try it and see how it goes. An occasional beer would probably be fine but I'd probably wait until the weekend to try it in case it makes you sick or pass out for 20 hours or something. So what DOES Strattera feel like when it's working? It's probably harder to describe since it doesn't ramp up and down like stims.
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# ? Nov 2, 2012 02:27 |
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# ? May 11, 2024 17:10 |
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HondaCivet posted:So what DOES Strattera feel like when it's working? It's still early, but I guess I would just say I feel normal. Like it's easier for me to say what ADD feels like, and that... well, at least part of it goes away or is lessened. But unlike the stimulants so far I can't say it feels like anything itself. I mean, except maybe "sleepy" or "slight headache."
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# ? Nov 2, 2012 05:51 |